Laboratory Accident Report Sheet
General Information
Date of Accident
Time of Accident
Location (Lab Name/Room #)
Name of Person Involved
Role/Position
Contact Information
Accident Details
Describe What Happened
Cause of Accident (if known)
Injuries and Damage
Describe Any Injuries
Describe Any Equipment or Property Damage
Action Taken
First Aid or Emergency Response Performed
Reported To (Name and Position)
Additional Comments